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Tuesday 30 July 2019

Interoperability: Health Information Exchange

When time is of the essence, every moment that you wait for a patient’s information could have life altering repercussions for the individual and their family. The ability to cut out this waiting time won’t just help you respond to the needs of a single patient quicker, you’ll also be able to maintain a continuous flow of patients through your health system




By supporting the exchange of data across organisational, geographical and technological boundaries, caregivers can access clinical information from any venue of care. That means that medications, pre-existing conditions, test results, allergies and more can all easily be considered when clinicians are creating health plans for patients, with safer and more timely decisions reached at the point of care.

The health information exchange (HIE) provides integration services via a one-way HL7 API and two-way REST API to integrate all sources of health and social care information across a region. It uniquely solves the consent to share and access patient information by allowing the patient to manage the permissions of each organisation, team or individual via the user interface of the patient portal. It provides granular consent to segment the record and allow permission to be granted by the individual for secondary uses of data (such as population analytics). The consent API provides all other connected systems with details of what information can be shared with each organisation, with a medico-legally audited ‘break glass’ functionality for overriding patient consent in cases of emergency or lack of capacity, where it in the person’s best interest. The HIE is managed by a publish-subscribe architecture and connects to integration engines and to most major systems in primary, secondary and tertiary care to deliver fully coded medical data in a view only or read/write approach. It is a fully hosted service with zero infrastructure requirements.